10 June 2009

Pertumbuhan dan Perkembangan Masa Remaja

Masa remaja atau orang barat bilang masa “teenager” ditandai dengan kematangan fungsi dan tercapainya bentuk tubuh dewasa. Gambaran pertumbuhan remaja ditandai dengan semakin tinggi dan beratnya remaja tersebut. Gambaran perkembangan remaja ditandai dengan tingkat perkembangan pubertas atau Tingkat Maturitas Kelamin (TMK). TMK 1 dan 2 adalah masa remaja awal, TMK 3 dan 4 adalah masa remaja menengah dan TMK 5 adalah masa remaja lanjut dan maturitas seksual penuh.

Klasifikasi TMK anak perempuan :

TMK

Rambut Pubis

Payudara

1

tidak ada

belum menonjol

2

Jarang, berpigmen sedikit, lurus, terletak di atas medial labia

menonjol seperti bukit kecil, areola mamae melebar

3

Lebih hitam, mulai ikal, jumlah bertambah

payudara/mamae dan areola membesar, tidak ada kontur pemisah

4

Kasar, keriting,  banyak tapi belum sebanyak dewasa

areola dan papila membentuk bukit kedua

5

Bentuk segitiga seperti pada perempuan dewasa tersebar sampai tengah paha

papila menonjol, areola sebagai bagian dari kontur payudara

Klasifikasi TMK anak laki-laki

TMK

Rambut Pubis

Penis

Testis

1 tidak ada pra remaja pra remaja
2 sedikit, panjang, pigmen sedikit sedikit membesar skrotum (kulit pembungkus testis) membesar, warna merah muda
3 Sedikit, mulai ikal, lebih gelap lebih panjang lebih besar
4 seperti tipe dewasa tetapi lebih sedikit, kasar dan keriting lebih besar, ukuran glans dan lebar penis bertambah lebih besar, skrotum lebih gelap
5 Seperti dewasa, menyebar sampai tengah paha ukuran dewasa ukuran dewasa

Kematangan alat kelamin perempuan ditandai dengan datangnya haid atau menstruasi sedangkan anak laki-laki ditandai dengan mimpi basah (mimpi hingga disertai ejakulasi pengeluaran sperma).

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